scholarly journals HUBUNGAN TINGKAT PENGETAHUAN DENGAN SIKAP KELUARGA TENTANG PERAWATAN ARTHRITIS RHEUMATOID PADA LANSIA DI DESA PAMALAYAN

2021 ◽  
Vol 3 (1) ◽  
pp. 5
Author(s):  
Daniel Akbar Wibowo ◽  
Dini Nurbaeti Zen
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Sector ◽  
The Elderly ◽  
P Value ◽  
Cross Sectional ◽  
Family Attitudes ◽  
The Family ◽  
Level Of Knowledge ◽  
The Impact ◽  
Arthritis Rheumatoid

Penelitian ini dilatarbelakangi oleh permasalahan yang sering terjadi pada lansia yaitu arhtritis rheumatoid. Dampak bagi keluarga akan terganggu dan keluarga sebagai orang terdekat harus mampu menjalankan tugasnya di bidang kesehatan. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan dengan sikap keluarga tentang perawatan arthritis rheumatoid pada lansia di Desa Pamalayan Kecamatan Cijeungjing Kabupaten Ciamis. Pengetahuan merupakan hasil tahu dan ini terjadi setelah orang melakukan penginderaan terhadap suatu objek tertentu. Sikap merupakan reaksi atau respon yang masih tertutup dari seseorang terhadap suatu stimulus atau objek. Jenis penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah kaluarga yang terdapat lansia dengan arthritis rheumatoid sebanyak 125 orang dengan menggunakan teknik pengambilan sampel secara purposif sampling. Instrumen yang digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa terdapat hubungan tingkat pengetahuan dengan sikap keluarga tentang perawatan arthritis rheumatoid pada lansia dengan p-value = 0,000. Saran bagi keluarga adalah harus memiliki pengetahuan yang cukup tentang arthritis rheumatoid dan upaya pencegahannya.This research is motivated by a problem that often occurs in the elderly, namely rheumatoid arthritis. The impact on the family will be disrupted and the family as the closest person must be able to carry out their duties in the health sector. The purpose of this study was to determine the relationship between the level of knowledge and family attitudes about treating rheumatoid arthritis in the elderly in Pamalayan Village, Cijeungjing District, Ciamis Regency. Knowledge is the result of knowing and this occurs after people have sensed a certain object. Attitude is a reaction or response that is still closed from a person to a stimulus or object. The type of research used is descriptive correlation with cross sectional approach. The population in this study were 125 elderly families with rheumatoid arthritis using purposive sampling technique. The instrument used is a questionnaire. The results showed that there was a relationship between the level of knowledge and family attitudes about treating rheumatoid arthritis in the elderly with p-value = 0.000. Suggestions for families are to have sufficient knowledge about rheumatoid arthritis and its prevention efforts.

Hubungan Sikap dan Karakteristik Pasangan Usia Subur (PUS) dengan Keikutsertaan dalam Program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur

2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
The Elderly ◽  
P Value ◽  
Planning Program ◽  
Elderly Age ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
Relationship Of

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik

The effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta, Kasongan, Bantul

2020 ◽  
Vol 1 (3) ◽  
pp. 43-50
Author(s):  
Firstyono Miftahul Aziz ◽  
Suratini Suratini
Keyword(s):  
Nursing Home ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Sampling System ◽  
Randomized Sampling ◽  
Care For The Elderly ◽  
Dementia Incidence ◽  
The Family ◽  
The Impact

For some people, dementia is considered as a disease that is common in elderly, regardless the impact of dementia. Taking care for the elderly with dementia brings stress for the family. It can cause and increase the family burden. Brain vitalization gymnastics is one of the methods to improve memory. The study aims to investigate the effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta. The study used Quasi Experimental with Pretest-Posttest control group and randomized sampling system. The samples were taken randomly as many as 26 respondents and were divided into two groups namely 13 respondents of experimental group and 13 respondents of control group. The statistical test used Wilcoxon Match Pairs Test. The result showed that Wilcoxon Match pairs test obtained p value 0,003, which is smaller than 0,005. There is an effect of brain vitalization activity on dementia incidence in elderly at Budi Luhur Nursing Home of Yogyakarta

HUBUNGAN TINGKAT PENGETAHUAN MENGENAI DIET HIPERTENSI TERHADAP KEJADIAN HIPERTENSI PADA LANSIA DI PUSKESMAS BALOI PERMAI BATAM KOTA

2020 ◽  
Vol 9 (1) ◽  
pp. 50-60
Author(s):  
Brain Guntoro ◽  
Kasih Purwati
Keyword(s):  
Public Health ◽  
Health Center ◽  
The Elderly ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Public Health Center ◽  
Chi Square Test ◽  
History Of ◽  
Level Of Knowledge

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN ORANG TUA DENGAN KEBERSIHAN GIGI DAN MULUT ANAK DI TK TUNAS BHAKTI MANADO

e-GIGI ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Triska Yolanda Worang ◽  
Damajanti H. C. Pangemanan ◽  
Dinar A. Wicaksono
Keyword(s):  
Oral Hygiene ◽  
Domain Knowledge ◽  
Pearson Correlation ◽  
Sampling Technique ◽  
Parental Knowledge ◽  
The Elderly ◽  
P Value ◽  
Cross Sectional ◽  
Pearson Correlation Test ◽  
Level Of Knowledge

Abstract: Domain knowledge is very important for the formation of one's actions. Knowledge of parents is very important in the formation of the underlying behaviors that support or do not support the oral hygiene of children. Good oral hygiene will make healthy teeth and surrounding tissues. This study aims to analyze the relationship between the level of knowledge of parent swith achild's dental and oral hygiene in kinder garten Tunas Bhakti Manado. The research used the descriptive analytical study with cross sectional approach. The experiment was conducted in a kinder garten classroom Shoots Bhakti Manado. The sample in this study all children in kinder garten preschool Tunas Bhakti Manado as many as 70 children examined OHI-S and as many as 12 questions questionnaire for the elderly. Sampling technique with a total sampling method.The results of this study indicate that parental knowledge about dental and oral hygiene in either category by 45.7% with oral hygiene status of children included in the medium category at 65.7%. Based on the results obtained Pearson correlation test p value of 0.020 (p <0.05). It can be concluded that there is a relationship between the level of knowledge of parents with children's dental and oral hygiene in kindergarten Tunas Bhakti Manado. Keywords: knowledge, OHI-S, preschoolers.   Abstrak: Pengetahuan merupakan domain yang sangat penting untuk terbentuknya tindakan seseorang.Pengetahuan orang tua sangat penting dalam mendasari terbentuknya perilaku yang mendukung atau tidak mendukung kebersihan gigi dan mulut anak. Kebersihan mulut yang baik akan membuat gigi dan jaringan sekitarnya sehat. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat pengetahuan orang tua dengan kebersihan gigi dan mulut anak di TK Tunas Bhakti Manado.Jenis penelitian yang digunakan yaitu penelitian deskriptif analitik dengan pendekatan cross sectional study.Penelitian dilaksanakan di ruangan kelas TK Tunas Bhakti Manado. Sampel dalam penelitian ini seluruh anak prasekolah di TK Tunas Bhakti Manado sebanyak 70 anak diperiksa OHI-S dan kuesioner sebanyak 12 pertanyaan untuk orang tua. Teknik pengambilan sampel dengan metode total sampling. Hasil penelitian ini menunjukkan bahwa pengetahuan orang tua mengenai kebersihan gigi dan mulut dalam kategori baik sebesar 45,7% dengan status kebersihan gigi dan mulut anak termasuk dalam kategori sedang sebesar 65,7%. Berdasarkan hasil uji korelasi pearson didapatkan p value 0,020 (p<0,05). Dapat disimpulkan bahwa terdapat hubungan antara tingkat pengetahuan orang tua dengan kebersihan gigi dan mulut anak di TK Tunas Bhakti Manado. Kata kunci: pengetahuan, OHI-S, anak prasekolah.  

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT DEPRESI PADA LANSIA

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Budi Kristanto ◽  
Rika Fitri Agustina
Keyword(s):  
Family Support ◽  
Elderly People ◽  
Research Result ◽  
Sampling Technique ◽  
The Elderly ◽  
P Value ◽  
Mild Depression ◽  
Cross Sectional ◽  
The Family ◽  
Depression Level

Background : The incidence of depression in elderly people in Indonesia is currently high.Indonesia has entered the era of elderly population. In 2009, the number of people agedover 60 years about 7.18%. Depression is a major mental health problem today. This isvery important because the incidence of depression will badly affects the productivity ofpeople particulary in a developing society.Research purposes : This research was generally aimed to find out the relationshipbetween family support and depression level in elderly as well as specifically to identifyfamily support for elderly and identify depression level in elderly.Subject : Research respondents were elderly people aged 60 years and over in TelukanVillage Sukoharjo District.Method : This research is a correlation research with cross sectional approach to analyzethe relationship betwen family support with depression level in elderly in Telukan VillageSukoharjo District. In this study the researcher used a saturated sampling technique inwhich all members of the population was used as a research respondent accounted for60.Research result : The majority of respondents who good support from their family was58.3% while the rest 41.7% got less support. The majority of were normal category (80%)while those with mild depression by 20%. The results of analysis with PearsonCorrelation obtained p value = 0.000 and value r = - 0.559.Conclusion : There is a significant relationship between family support and the incidenceof depression in the elderly. The higher the family support the lower the incidence ofdepression in the elderly.Keywords: depression, family support, elderly

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT PENGETAHUAN PERAWATAN PENDERITA SKIZOFRENIA DI KLINIK JIWA RSD MANGUSADA BADUNG

2021 ◽  
Vol 16 (2) ◽  
pp. 380-387
Author(s):  
Nur Cahyaningsih ◽  
I Made Dwie Pradnya Susila
Keyword(s):  
Family Support ◽  
Sampling Technique ◽  
P Value ◽  
Cross Sectional ◽  
Daily Care ◽  
The Family ◽  
Care Family ◽  
Schizophrenic Patients ◽  
Level Of Knowledge ◽  
High Level

Schizophrenic patients have decreased ability to maintain daily care. Family support in the care of schizophrenic patients is influenced by the knowledge of schizophrenic patient care by the family which can give a positive response in daily care for schizophrenic patients. This study aimed at determining the correlation between family support and the level of knowledge in the care of schizophrenics at the Mental Clinic of RSD Mangusada Badung. The study was implemented with an analytic observational design with a cross-sectional approach. The total samples were 67 respondents using the incidental sampling technique. Data were collected using a family support questionnaire and a questionnaire on the level of care knowledge. Data were analyzed using Spearman`s rho test. The results of the study were 36 people with adequate family support with a percentage of 53.7% and 36 people with a high level of knowledge of care with a percentage of 53.7%. correlation analysis between family support and the level of knowledge of care obtained p-value <0.001. There was a correlation between family support and the level of knowledge of schizophrenic care in Mental Clinic RSD Mangusada Badung. The recommendations of this study are expected to be input for nurses to always provide care education for schizophrenia patients to their families.

scholarly journals Peran Keluarga terhadap Penurunan Tingkat Kecemasan Lanjut Usia

2021 ◽  
Vol 1 (2) ◽  
pp. 31-37
Author(s):  
Dewi Puspa Cipta Utami
Keyword(s):  
Statistical Tests ◽  
Sampling Technique ◽  
The Elderly ◽  
P Value ◽  
Cluster Sampling ◽  
Family Role ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family

Introduction: The role of the family is the specific behavior expected by someone in the family member. Anxiety is a fear that is not clear and is not supported by the situation. Objective:  To Know the Relationship of Family Role to the Level of Anxiety in the Elderly in Hamlet 01 Kukusan Beji-Depok Method: The research method uses analytics with a cross-sectional approach. The study population was 288 people with a sample of 81 respondents using the Slovin formula. In the sampling technique using cluster sampling. Results: The results showed that the respondents with a bad family role as many as 41 (50.6%) anxiety levels of the middle aged were 59 (72.8%). The results of statistical tests using the chi-square test indicate that there is a significant or significant relationship between the role of the family and the level of anxiety of the elderly with a value of p-value 0.01. Conclusion: It was concluded that there was a relationship between the role of the family and the level of anxiety of the elderly in the Hamlet 01 Kukusan Beji District Depok City.

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN LANSIA TERHADAP PENATALAKSANAAN HIPERTENSI

2021 ◽  
Vol 9 (2) ◽  
pp. 10-18
Author(s):  
Anitha Anitha
Keyword(s):  
The Elderly ◽  
Statistical Test ◽  
P Value ◽  
Knowledge Level ◽  
Chi Square ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
Relationship Of ◽  
The Relationship

Hypertension is commonly occurred by a number of elderly and adversely affects vital organs such as the heart and kidneys so that it can cause death. Deaths by hypertension can be prevented and treated by treating hypertension. Handling of hypertension is pharmacology handling and non-pharmacology handling. The purpose of this study was to determine the relationship of knowledge level with the handling of hypertension in the elderly in RT 10 Kelurahan Rawa Buaya. The research design used was cross-sectional design and data were collected using a questionnaire. The sample amounted to 48 respondents and was taken by random sampling. Result of research based on chi-square statistical test, there is a significant correlation between knowledge level with hypertension handling in the elderly (p-value = 0,002). The conclusion of the research shows that there is a correlation between the level of knowledge with the handling of hypertension in the elderly in the RT 10 Kelurahan Rawa Buaya. Suggestions for researchers further expected this research can be a reference and the beginning for much more research about the factors that affect the handling of hypertension in elderlyKeywords: Knowledge, Seniors, Hypertension Handling

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ATHRITIS RHEUMATOID PADA LANSIA DI WILAYAH KERJA PUSKESMAS MUARA KATI KABUPATEN MUSI RAWAS

Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 176-184
Author(s):  
Nadi Aprilyadi ◽  
Bambang Soewito
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Center ◽  
Significant Relationship ◽  
Middle Age ◽  
The Elderly ◽  
Survey Method ◽  
Cross Sectional ◽  
Factors Associated ◽  
Work Area ◽  
Arthritis Rheumatoid

Arthritis Rheumatoid paling banyak ditemui dan biasanya dari faktor, genetik, jenis kelamin, infeksi, berat badan/obesitas, usia, selain ini faktor lain yang mempengaruhi terhadap penyakit Arthritis Rheumatoid adalah tingkat pengetahuan penyakit sendiri memang masih sangat kurang, baik pada masyarakat awam maupun kalangan medis (Mansjoer, 2011).Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kejadian Arthritis Rheumatoid pada lansia diwilayah kerja Puskesmas MuaraKati tahun 2018. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Adapun responden ini adalah Pengambilan sampel dilakukan secara Accidental Sampling yaitu semua lansia yang berkunjung ke poliklinik Puskesmas Muara Kati tahun 2018 yang berjumlah 339 orang dengan mengambil kasus atau responden yang kebetulan ada atau terjadi. Sebagian besar responden berjenis kelamin terhadap kejadian AthritisRheumatoid pada lansia diperoleh hasil tertinggi yaitu kategori laki-laki berjumlah 54 (63.5%) orang. Sebagian besar Usia lansia yang mempunyai penyakit Athritis Rheumatoid pada lansia diperoleh hasil tertinggi yaitu usia pertengahan berjumlah 47 (55.3%) responden. Dari responden pengetahuan terhadap kejadian Athritis Rheumatoid pada lansia diperoleh hasil tertinggi yaitu kategori baik berjumlah 36 (42.4%) orang. Kejadian Athritis Rheumatoid pada lansia di wilayah kerja Puskesmas Muara Kati di peroleh hasil tertinggi yaitu responden yang menderita AthritisRheumatoid sebanyak 51 (60.0%). Tidak ada hubungan yang bermakna antara jenis kelamin terhadap kejadian Athritis Rheumatoid pada lansia diwilayah kerja Puskesmas Muara KatiTahun 2018. Hasil penelitian ini dapat di jadikan untuk mengembangkan pendidikan tentang cara mendeteksi gejala dari penyakit rematik pada lansia dapat di jadikan bahan pertimbangandalam pemberian penyuluhan kesehatan pada lansia, terutama penyuluhan tentang penyakit yang menyerang usia lanjut.   Rheumatoid arthritis or achy rheumatic pain is also a degenerative disease that causes damage to cartilage (cartilage) of the joints and adjacent bones, accompanied by proliferation of bone and soft tissue in and around the affected area (Priyanto, 2009). The purpose of this study was to determine the factors associated with the incidence of Rheumatoid Arthritis in the elderly in the work area of Muara Kati Health Center in 2018. This study used an Analytical Survey method with a Cross Sectional approach. The respondents were all elderly who visited the Muara Kati Puskesmas clinic in 2018, totaling 339 people. Most of the respondents who were sex with the incidence of Rheumatoid Athritis in the elderly obtained the highest results, namely the male category totaling 54 (63.5%) people. Most of the age of the incidence of Rheumatoid Athritis in the elderly obtained the highest results, namely middle age, amounting to 47 (55.3%) respondents. Nearly the majority of respondents knowledge of the incidence of Rheumatoid Athritis in the elderly obtained the highest results in the good category totaling 36 (42.4%) people. Most of the incidence of Rheumatoid Athritis in the elderly in the working area of the Muara Kati Health Center was obtained the highest results, respondents who suffered from Rheumatoid Athritis were 51 (60.0%). There is no significant relationship between sex with the incidence of Rheumatoid Athritis in the elderly in the work area of Muara Kati Health Center in 2018. There is a significant relationship between age and the incidence of Rheumatoid Athritis in the work area of Muara Kati Health Center in 2018. There is a significant relationship between knowledge of events Rheumatoid Athritis in the working area of the Muara Kati Health Center in 2018.

AB0336 IMPACT OF SUBJECTIVE INTOLERANCE TO METHOTREXATE ON THE QUALITY OF LIFE OF PATIENTS WITH RHEUMATOID ARTHRITIS: SIDE EFFECTS AND AVOIDANCE COPING STRATEGIES THROUGH SELF-ADMINISTRATION IN THE EVENING OR DURING THE WEEKEND

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1466.1-1467
Author(s):  
G. Cavalli ◽  
M. Biggioggero ◽  
A. Cariddi ◽  
G. De Luca ◽  
E. Agape ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Side Effects ◽  
Social Participation ◽  
Disease Duration ◽  
P Value ◽  
Self Administration ◽  
Cross Sectional ◽  
The Impact

Background:Methotrexate (MTX) represents theanchor drugfor the treatment of rheumatoid arthritis (RA), as well as other rheumatological diseases such as psoriatic arthritis (PsA) and spondyloarthritides (SpA). Despite consolidated clinical efficacy, the use of MTX suffers from relevant limitations. Common issues include subjective intolerance, nausea, malaise, and fatigue, which negatively impact on quality of life and work/social participation.Objectives:In this study, we evaluated the frequency with which patients on MTX therapy opt for self-administration over the weekend or in the evening hours, in order to minimize interference with daily activities, work productivity, and social participation.Methods:A cross-sectional, prospective study was performed in two tertiary referral Rheumatology clinics, which included consecutive patients with RA, PsA, or SpA on MTX therapy. Enrolled patients had not previously received instructions by their healthcare provider as to when during the week or day MTX ought to be administered, and were free to choose or change the weekday and time for self-administration. Data on the route and timing of MTX self-administration was collected using dedicated questionnaires, which included queries on the dose and route of administration, day of the week and time of self-administration, reasons for the patient’s choice, use of folic acid supplementation, and concomitant therapies. Statistical analyses were conducted using a chi-square test; a p-value <0.05 was considered significant.Results:A total of 275 consecutive patients treated with MTX were included, mostly with RA (86%). Patients had an average age of 59.8 years (SD 14.0) and an average disease duration of 134.5 months (SD 127.3). The average MTX dose was 15 mg/wk (SD 4.4); MTX was administered subcutaneously in 68.2% of cases, orally in 17.8%, and intramuscularly in 5%. Regarding the timing of MTX self-administration, 157 patients (57.1%) took MTX in the evening and 119 patients (44.3%) took it during the weekend; even among patients taking MTX in the evening, weekend administration was preferred (93/157, 59.2%, p <0.001). The most frequent reasons leading to MTX self-administration during the evening or weekend were gastrointestinal side effects/nausea (85% of cases), fatigue (63%), interference with work activities (36%) and interference with social activities (29%). Patients who opted for MTX self-administration in the evening or over the weekend were significantly younger (p <0.001), with no significant gender differences or disease duration.Conclusion:The majority of patients with inflammatory arthritis opt for self-administration of MTX in the evening (absolute majority) or during the weekend (relative majority). This choice is dictated by the need to avoid side effects and detrimental repercussions on the individual’s social or working life. The adoption of these strategies for minimizing the adverse effects of MTX is more frequent among younger patients, and provides an indirect, yet powerful indicator of the impact of MTX therapy on patients’ quality of life.Disclosure of Interests:Giulio Cavalli Consultant of: SOBI, Pfizer, Sanofi, Novartis, Paid instructor for: SOBI, Novartis, Speakers bureau: SOBI, Novartis, Martina Biggioggero: None declared, adriana cariddi: None declared, Giacomo De Luca Speakers bureau: SOBI, Novartis, Celgene, Pfizer, MSD, Elena Agape: None declared, nicola boffini: None declared, Elena Baldissera Speakers bureau: Novartis, Pfizer, Roche, Alpha Sigma, Sanofi, Lorenzo Dagna: None declared, Ennio Giulio Favalli Consultant of: Consultant and/or speaker for BMS, Eli-Lilly, MSD, UCB, Pfizer, Sanofi-Genzyme, Novartis, and Abbvie, Speakers bureau: Consultant and/or speaker for BMS, Eli-Lilly, MSD, UCB, Pfizer, Sanofi-Genzyme, Novartis, and Abbvie

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